HomeMy WebLinkAboutBLDE-23-18944 6/16/23,6:13 AM about:blank
Commonwealth of Massachusetts �'_Y'A�4'}
Town of Yarmouth 3� t , ayro c
ELECTRICAL PERMIT .,f
Job Address: 36 BELLE OF THE WEST RD Unit:
Owner Name: DENNEHY JOHN A HUNTER DENNEHY PATRICIA
Owner's Address: 36 BELLE OF THE WEST RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18944
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Install receptacle &relocate receptacle
No.of Receptacle Outlets: 2 No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: July 15, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: PAUL M RYDER License Number: 39762
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: OSTERVILLE, MA, 026551366 OSTERVILLE MA 026551366 Fee Paid: $75.00
Email: prelectrical@comcast.net Business Telephone: 508-280-6631
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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. .,RIECEIVED 2 (/1 S/7--ee,..74.° 11.
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2023 i Commonwealth Of Massachusetts Permit No.
Official n
„ 4!—gl - Department of Fire Services Occupancy and Fee Checked:
BU r j BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
`'•'''14 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: YARMOUTH • Date:1'i f - Z-3
To the Inspector of Wires:By this a plicatio the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): '5 /� U .,k.. �S t j> Jnit No.:
Owner or Tenant: v k, / Email:
.y )7 4 l 7 L.LU '
Owner's Address: s`,/•ry+•� � Phone N�
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑ Pe it No.:
Purpose of Building: 2.cJ r ci�^ Utility Authorization No.:
Existing Service: / 4 Amps / Volts Overhead Underground❑ No.of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Asa(404 0 n- . u c. Tr Cr •-- "0/)ci v c
O h-- v r/A. r 0" --eat �,—• , 7 (i,r-c...,t r �1,-c- �),r„- ._ .P
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: ?j No.of Switches: Generator KW Rating: Type:.
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
-No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level I 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,og°s required by the Inspector of Wires.
Estimated Value of Electrical Works-PII v o d • . (When required by municipal policy)
Date Work to Start: 7-IS - 13 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: /0 I t/&c.f.-f G. I LL C- A-1 0 or C-1 ❑LIC.No.:
Master/Systems Licensee: a L/ 7 ,(0_4 £�, LIC.No.: �� 7 L
Journe man Licensee: /`- LIC.No.: L
Y
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: / • 0 • 6 c V— 1I L. ( 6J-4-ter //'�
Email: ,On A C-`'i .4 ( 6) Ca."A c 4 f • A 1 r- Telephone N{ �6?T-
I certify,a der the pains and penalties of perjury,that the information on this application is true and complete.
Licensee:pea1 ' /Z`(t /Z Print Name:/ .J L_ r Cell.N l 6 6 3/
INSURA PUCE COVERAGE: Unless waived by the owner, o permit for the perfdFinan of electrical work may issue unlets the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s e to the permit issuing office. I - , • /
•
CHECK ONE: INSURANC BOND El OTHER❑ Specify: D r
OWNER'S INSURANCE IVER: I am aware that the Licensee does not have the liability in rance coverage normally
required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent 0
Owner/Agent: Tel.No.:
Signature:
Email.: